Managed Care Readiness

New York State’s Adult Behavioral Health Medicaid Managed Care Program is transforming into a system requiring greater emphasis on person-centered and recovery-focused practices, integration of physical and behavioral health services delivery, heightened performance expectations, and use of effective, evidenced-based practices. CCSI’s Center team understands the significance of the changes taking place in the State's Medicaid Managed Care Program and can assist customers with assessing the degree of readiness for that transformation, identifying where there may be some gaps, and then helping providers implement the changes needed to support success in a Managed Care environment. Center staff can also help providers demonstrate their impact by "measuring what matters" as they plan for and deliver essential and cost-effective services in the region. Much of the work of the Center assists our customers in learning how to build relationships with Managed Care Organizations and developing effective Utilization Management practices. With support from CCI’s Center, providers learn how to collaborate and contribute more fully in a value-driven and regionalized health care system, while supporting the delivery of the highest quality of services to their local community.

JOHN LEE, MBA

Director – The Center for Collaboration in Community Health

John Lee is the Director of the CCSI Center for Collaboration in Community Health. He has worked for both Community Care Behavioral Health Organization (CCBHO) as well as Beacon Health Strategies, most recently in the role of Program Director for the Western Region Behavioral Health Organization (WRBHO) initiative. In addition, John served as Vice President for Highland Hospital of Rochester for a number of years. John holds an MBA with a certificate in Health Administration from Cornell...Read More

Webinars

Managed Care 101

This webinar will provide an overview of managed care operating principles, as well as highlight the key changes taking place as Medicaid managed care transforms.

Presenter: John Lee, MBA, Director of the Center for Collaboration in Community Health

Reducing avoidable inpatient psychiatric hospitalizations is undoubtedly a significant outcome for providers, so what better way to reduce admissions than to get feedback directly from those who have experience with our inpatient services? The information presented in this webinar was based on focus group feedback from consumers, family members, advocates and clinicians across Upstate New York about what constitutes a positive inpatient experience. The project was led by NYCCP staff members...

Presenter: John Lee, MBA, Director, Center for Collaboration in Community Health Robert Dempsey, Peer and Family Services Coordinator, Contract Management, Monroe County Office of Mental Health Laura Commaroto, LCSW, Administrator, Center for Collaboration in Community Health